RICHARD J BRECKWOLDT (M.D.) – Internal Medicine Physician, NPI 1942297106
Internal Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,409 INTERNAL MEDICINE in GA
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Provider Addresses for RICHARD J BRECKWOLDT (M.D.)
5604, Wendy Bagwell Parkway, Hiram, Paulding County, Georgia, 30141, United States
SUITE 711
HIRAM, GA 301417813
Phone: (678) 384-0800
Fax: (678) 384-0801
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 50 Open Payments records for all available years, with a total value of $1,008.
Total Amount is formed as General ($1,008) + Research ($0) + Ownership ($0) = $1,008.
Last reported payment date: 2024-12-05 • Largest payer in this snapshot: Exact Sciences Corporation ($172).
Total Amount
$1,008
General + Research + Ownership
Payments
50
Total payment records
General Amount
$1,008
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-05
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Exact Sciences Corporation | $172 |
| AstraZeneca Pharmaceuticals LP | $134 |
| Amgen Inc. | $132 |
| Lilly USA, LLC | $130 |
| Novo Nordisk Inc | $106 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2005-11-01
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20051101000439 | I | Internal Medicine | GA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 36415 | Insertion of needle into vein for collection of blood sample | 544 | 264 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 448 | 228 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 156 | 106 | $0 |
| G0008 | Administration of influenza virus vaccine | 62 | 62 | $0 |
| 90662 | Influenza vaccine split virus, preservative free | 60 | 60 | $0 |
Insurance plans in this area (ZIP 30141)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | GA | |
| Nurse Practitioner | GA | |
| Family Practice | GA | |
| - | GA | |
| - | GA | |
| Internal Medicine | OH | |
| - | GA | |
| - | GA | |
| - | GA | |
| Internal Medicine | GA |
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